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MARION COUNTY BUILDING INSPECTION
<br />SENATOR BLDG. NO, 22,5
<br />220 HIGH STF~EET NE
<br /> SALEM, OREGON 97301
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<br /> PHONE: 588-514.7 8:00 ~, 4:30
<br /> 24 HOUR CODE-A-Pi' ONE: 588-7904
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<br /> The wo~ wJlJ b~/_~pe~ormed bY a re,listened builder, ' ' '.
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<br />ow,e,: DATF;iZ--:t,2/.93~Z. _:r.[~'--.,LS:.~A,.'~,~ ...... ~-
<br /> ~;- --C,I. A KAR 'FJ~~ "~
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<br /> 225 'S PATTON ST -- ~::,
<br />DETROIT OR '973~2,,
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<br /> , .!I ............. .........
<br /> PO BOX ~3 , ·
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<br /> PHONg: 8~e-~e25&~ ' ~ ~ VALUATIONf
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<br /> ~ Y~T HO~ RE~DY~
<br /> P~RMIT OR APPLICATION ND: 9~5t186 ';~ J S~TE EVALUATION NUNBER:
<br /> ' ; ~ EXISTING TANK SIZE:
<br /> CONTRACTOR~ NO. :'~ EXISTING ~R~IN FIEL~ LINES:
<br /> CEAR' KAREW , . SE ~ TA F;HP -14
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<br /> , _ ~T[N .... j .... ~ ...., . .':' ;~,, ... ....... -'' " QUANTITY AMOUNT
<br /> EXISTING SYSTEM EVAL..:RP~"-,,'-....~,~;.; ,' .... ~ 1
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<br /> .; .... .', ~,':.,:"~. ;'4 $16~
<br /> : .'.'..',, h.:.
<br /> " '~" ~ :'' ,..,' .............. "~ ~:L6~. ~
<br />
<br /> ' ' ~0. ~
<br /> ~. :' , ,,,,
<br /> PAY .~ CLAR(, ~AR~N ,~- ,~,,~:,:~.::..:,t'. .., INVOICE NO: 5~741
<br /> RECEIVED BY: CL. '~ ~ ...... '~';':'"' :~ TYPE;: IN CHECK ~: O
<br /> SEE ATTAOHE~ DOCUMENT:'~Fc '~YSTEM~
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<br />FOLLOWING HU~T ~E COMPL~E
<br />ALL NECESSARY INFORMATION; ......... . ~,, ; F~ APPLICANT TO ASSURE THAT
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<br /> PLAN
<br /> BY
<br /> ...... g:5~gc'.;qSTEg:=~g'g'~j:~:"...,.,,,,C,l.~;,~JWS:l,~lgl'ION: BY .......... DATE ...............
<br /> RENt,KS: ESE PF ?-[4-93/EAS[~[N-T AT[flCH'E~.: ..... ?-., ,'.
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<br />OFFICE COPY
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